QualifiCations of Thailand Privilege Card’s appliCant
泰国精英卡申请人资格
I do hereby certify that I fully have following qualiﬁcations:
1. Having passport with visa granted by the Embassy or Consular Ofﬁce abroad or by the Ministry of Foreign Affairs.
2. Not having been sentenced to imprisonment by Thai court’s judgment or lawful order, or foreign court’s judgment, except for the case of petty
offence or an offence committed to negligence
3. Not being a person who has arrest warrant issued by Thai government or foreign government, nor a person whose name is listed in Thai or foreign
government’s watch list.
4. Not having been exiled by Thai government or foreign government or deported by the ofﬁcial.
5. Not being a person considered harmful to the society or likely to disturb the peace or public safety or security of the Kingdom of Thailand.
6. Not being a person entering into the Kingdom of Thailand and engaged in business against public order or good moral.
7. Being a person permitted to reside in or enter into the Kingdom of Thailand in accordance with the Immigration Act B.E. 2522 or other immigration
related laws.
8. Being a person travelling to or departing the Kingdom of Thailand via the channels, checkpoints, stations, or areas designated in the Immigration
Act B.E. 2522 or other immigration related laws.
9. Being a person travelling to or departing the Kingdom of Thailand and having submitted all particulars in accordance with the forms, methods,
and conditions required and having passed immigration checking processes by immigration ofﬁcer at the underlying checkpoint.
10. Not being a person involved, directly or indirectly, in bankruptcy or insolvency liquidation.
11. Not being a person involved, directly or indirectly, in money laundry or ﬁnancial crime.
12. I am aware of my duty to conduct a 90-day report when I stay 90 days consecutively in Thailand.
13. I am aware of my duty to present myself to the Immigration Bureau when I stay 365 days consecutively in Thailand irrelevant to the 90-day reports
which I accomplish prior to the 365 days consecutive stay.
14. I am aware of the application condition of which I must not have more than one overstays record in Thailand in the past three years.
15. I am aware of my duty to keep my residence record in Thailand so called TM30.
本人在此证明已具备以下资格：
1. 持有护照，且该护照亦已附有泰国境外大使馆、领事馆或外交部发出的签证。
2. 没有被泰国或是外国法院判处监禁；轻微或过失犯罪除外。
3. 本人并非由泰国或外国政府发出逮捕令须拘捕的人，也非泰国或外国政府监视名单中的人。
4. 没有被泰国或外国政府驱逐出境的记录。
5. 没有被认为将危害泰国社会，或可能危害泰国社会安宁或公共安全的人。
6. 入境泰王国后并未违反公共秩序或违反善良风俗。
7. 本人根据泰历2522年《移民法》或其他移民相关法则获准进入泰王国并逗留。
8. 本人入境、离开泰王国都是经由泰历2522年《移民法》所指明的途径、检查站、车站或地区。
9. 本人按照所要求的表格、方法和条件提交了所有信息，并已通过了指定检查站内检查官的出入境检查程序以前往、离开泰王国。
10. 本人并无直接或间接涉及破产或破产清算。
11. 本人并无直接或间接参与洗钱或金融犯罪。
12. 本人知悉当在泰国连续逗留90天时，有义务进行90天的报到。
13. 本人知悉当连续365天在泰国逗留时，无关之前是否进行过90天报告，均有义务亲身向移民局报到。
14. 本人知悉申请条件为过去三年内不得有超过一个逾期逗留的记录。
15. 本人知悉有责任申报在泰国的居住记录称为TM30

I, as the Applicant, do hereby certify that statements ﬁlled in this Application and statement certifying qualiﬁcations under Clause 1 to Clause
15 above are all true, complete, and accurate. Should it appear in any case after I have become Thailand Privilege Card Member that any informationin such statements is not true, or I am not permitted to enter the Kingdom of Thailand by the immigration ofﬁcer, or visa application is denied, it shallbe deemed that the Company is entitled to cancel the Application or cancel the Membership (as the case may be).
In such case, I shall not demand return for the Membership Fee (or any fees under different name, shape or form, equivalent thereto),
nor shall I demand for any damages from the Company. In addition, I consent to the Company’s verifying my background against the information
pertaining to myself kept at the Royal Thai Police, the Immigration Bureau, the Consular Department, Ministry of Foreign Affairs, and/or at otherrelevant government ofﬁces, as well as consent to the Royal Thai Police, the Immigration Bureau, the Consular Department, Ministry of Foreign Affairs,
and/or such other relevant government ofﬁces’ disclosing my background to the Company.
本人在此证明，本申请表中所填写的声明以及以上第1条至第15条所述的内容均据实以报、完整及无误。在成为泰国精英卡 会员后，如有任何情况使这些声明中的任何
一条信息不正确，或移民局官员不允许本人进入泰国，或签证申请被拒绝，则应被视为公 司有权取消申请或取消本人的会员资格（视情况而定）。
在此情况下，本人将不会要求退还申请费，也不会要求公司赔偿任何损失。此外，本人同意公司根据本人在泰国王家警察局、移民局、领事部、外交部和或其他相关
政府部门保留与本人相关的信息来核实资讯，并同意公司向泰国王家警察、移民局、领事部、外交部或其他相关政府部门，透露本人的背景资讯 。

Applicant’s Signature / 申请人签署

Date / 日期
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AppliCation Form for diamond Membership (next Member)

Please use capital letters and black or blue ink only
For Thailand Privilege Card Co., Ltd. use only

SA15/029
Agent Code:Application No.(for Sales Agent):

Membership No.:
Membership ID. No.:
General Information

Title:

Mr.

Mrs.

Ms.

Other

(Please specify)(As shown in your passport)

FemaleTitle:
Male
Given Name:
Middle Name:
Surname:
Date of Birth (DD/MM/YY):Country of Birth:

Passport Information

Nationality:
Issued by:

Passport No:
Issued Date:

Expiry Date:

Country:

Postal Code:Contact Information

Current Address
Number & Street:City:
Telephone No. (Address in Thailand-

State:Country Code - Area CodeType of Accommodation in Thailand:
Address Name:District:
Telephone No. in Thailand (+66(0)-)*

Serviced Apartment
Others please specify

Country Code - Area Code

Mailing Address:
Current Address*E-mail Address (Main Contact):

)*

House
Province:

Condominium
Number & Street:

Postal Code:

Address in Thailand(Please indicate one email address that you want to receive updated privilege and beneﬁt news)

Occupation

Occupation:
Entrepreneur
Investor
Employee
Retiree
Student
DigitalNomads
Other(Please specify)
Type of Business (Please select one):
E-commerce
Advertising / Marketing / Media
Automotive
Construction
Legal Advisor/Consultant
Education
Government / Military
Medical / Health Service
Real Estate
Computer / Electronic
Consumer Goods / Retail
Finance / Banking / Insurance
Agriculture / Chemical / Energy
Travel / Guide / Tour
Other
(Please specify)

OthersPlease answer the additional question as following(Optional) Referral by Thailand Privilege Member (Name or Member ID) :(Please specify)
Do you have more than three empty pages in the current passport?
YesNo
Are you currently holding any valid Thai Visa?
Yes
No
If the answer is “Yes”. What type of Thai visa are you currently holding?
Non-Immigration Visa B
Non-Immigration Visa O
Non-Immigration Visa ED
Tourist Visa (TR)Tourist MT Visa ( Medical Treatment)
BOI Visa
Other(Please specify)
When is the expiry date?
(Please specify)
Are you overstayed in Thailand in the past three years? No
Yes
How many times?
(Please specify)

How do you know us?
Sales Agent(Please specify)
www.thailandprivilege.co.th
D_N2023_001

Online/Social MediaFriendMemberAdvertising
Other(Please specify)

We, as the applicant (“Applicant”), warrant the accuracy and completeness of the information provided for Thailand Privilege Card Company
Limited (the “Company”) and in this Application Form for the Diamond Membership (the “Application”). By signing this Application, we request thatthe “Company” consider and approve the Diamond Membership for me. We agree to be bound by the Diamond Membership Agreement attachedhereto which shall form part of this Application. We shall not withdraw any consent or authorization given in this Application if the Company approves
the Diamond Membership for us.
We understand that the Diamond Membership is subject to a written approval by the Company. Within the deadline speciﬁed in a written
approval from the Company, we shall make payment or procure to make payment of the Application Fee and the Membership Fee / Next Membership
Fee in the amount as prescribed in the Diamond Membership Agreement, without deduction of any bank charges, to the bank account of Thailand
Privilege Card Company Limited which shall be notiﬁed to the applicant on a non-refundable basis for the enrollment of the Diamond Membership,
otherwise it shall be deemed that such approval shall be automatically revoked without a requirement of any further notice from the Company.

The Applicant has a legal relationship with the current Diamond Member (Core Member) as the:Legitimate Spouse
Legitimate Child
Legitimate Parent
Legally Adopted Children
The Applicant has a legal relationship with the current Diamond Member (Core Member) as the:
Mr.
Mrs.
Ms.
Dr.
Other
(Please specify)

Given Name:
Middle Name:
Surname:Diamond Membership ID. No. (Core Member):

Signature

Civil Union Partner

Core Member /Legal Representative

Signature

Applicant(If the applicant is under 20 years)

Supporting Documents needed:
1. Consent Form + Application Form
2. Copy of Passport
3. Copy of Current Thai Visa/ Latest entry stamp / Visa (if any)
4. High Resolution Photo (Passport size)
For Thailand Privilege Card Co., Ltd. use only

Approved

Signed by:

5. Proof of Relationship e.g. Marriage Certiﬁcate and Birth Certiﬁcate (for family package)
6. Proof of Relationship (Required if under age of 20)*Application must inform of any overstay record in the past 3 years.

Not Approved
Reason (s):Signed by:

Thailand Privilege Card Company Co., Ltd.’s accounts
for remittance in Thai currencies
Thai Baht RemittanceAccount Name

Thailand Privilege Card Company Limited

Bank

Krung Thai Bank Public Company Limited

Account No.

170-0-12702-0

BranchEmpire Tower, South Sathorn

Swift CodeKRTHTHBK

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TERMS AND CONDITIONS OF diamond MEMBERSHIP (Next Member)(the “Diamond Membership Agreement”)

By enrolling in the Membership, the Core Member / Next Member agree to be bound by this Diamond Membership Agreement set out below.
By applying for or purchasing the Membership or acquiring the Privileges, the Core Member / Next Member represent(s) that each and all of themhas/have all qualiﬁcations as required in Clause 6 (Qualiﬁcations of the Applicant/ the Core Member / Next Member). The Core Member / Next
Member agree that the Company may from time to time amend or supplement this Diamond Membership Agreement.
This Diamond Membership Agreement is incorporated into and forms part of the Application for the Diamond Membership.

1. Deﬁnition in this Daimond Membership Agreement:a) “Additional Membership Fee (Core Member)” means the differenced amount between the Membership Fee and the membership fee of either class of
the Upgraded Membership, i.e. the Reserve Membership (Invitation only), to be paid by the Core Member upon the Core Member / Next Member’s Noticeof Manifestation (Upgrade) for the Upgraded Membership, which is to be discussed more particularly in detail in Clause 5.6;b) “Additional Membership Fee (Next Member)” means the differenced amount between the Membership Fee and the membership fee of the class of
the Upgraded Membership, i.e. the Reserve Membership (Invitation Only), to be paid by the Next Member upon the Core Member / Next Member’s Noticeof Manifestation (Upgrade) for the Upgraded Membership, which is to be discussed more particularly in detail under Clause 5.6;c) “Applicant(s)” means the applicant(s) who submit(s) the Application to the Company in order to enroll in the Membership under this Platinum Membership Agreement, and for clarity purpose, reference to the Applicant shall be interchangeably equal reference to the Core Member or the Next Member,as the context requires;d) “Application” means the Application Form for the Diamond Membership submitted to the Company by the Core Member / the Next Member;e) “Application Fee” means the refundable application fee at the amount payable to the Company by the Member upon application submission, which is
to be discussed more particularly in detail in Clause 5.1;f) “Card” means the Diamond Membership Card approved and issued to the Core Member / Next Member by the Company pursuant to the terms andconditions of this Diamond Membership Agreement;g) “Card Reissuing Fee” means the fee to be paid by the Core Member / Next Member to the Company when the Core Member / Next Member requests
for the issuance of the new Card due to loss or damage to the Card, which is to be discussed more particularly in detail under Clause 5.4;h) “Company” means Thailand Privilege Card Company Limited;i) “Core Member” means the applicant under the Application (i) whose Membership has been approved by the Company, and (ii) who is a biological parent
or step parent, or a child or adopted child of the Next Member, or who is a married couple or civil union partners of the Next Member within the meaningof an Immediate Family Member;j) “E-Privilege Manual” means the E-Privilege manual and card holder manual which prescribe the terms and conditions of the Privileges and other details
which are relevant to the Membership and which shall be provided to the Core Member / Next Member by the Company once the Company has received
the Application Fee and the Membership Fee / Next Membership Fee;k) “Immediate Family Member” means a biological parent, step-parent, married spouse, civil union (with certiﬁcate legally issued by relevant authority having
jurisdiction in the Core Member or Next Member’s country), children and legally adopted children of the Core Member, or the same of the Next Member;l) “Legal Representative” means a legal guardian with the authority to give consent for the applicant who is under twenty (20) years old.
m) “Member Contact Center” means a contact center of the Company or the Service Provider with which the Core Member / Next Member may makecontact via a telephone or other communication channels as stipulated in the E-Privilege manual, or as the Core Member / Next Member shall be advised
from time to time;n) “Member Identiﬁcation Number” means a member identiﬁcation number which the Company shall issue to the Core Member / Next Member along with the Card.
o) “Membership” means the Diamond Membership enjoyed collectively by the Core Member / Next Member under this Diamond Membership Agreement;p) “Membership Fee” means the membership fee that the Core Member shall remit to the Company for enrollment of the Membership, which is to be
discussed more particularly in detail under Clause 5.2;q) “Membership Term” means the 15-year term of validity of the Membership collectively enjoyed by the Core Member / Next Member as discussed in Clause 2.4;r) “Next Member(s)” means any Immediate Family Member of the Core Member, who applies for the Membership and enjoys the Privileges under theMembership (collectively shared with the Core Member) approved by the Company;s) “Next Membership Fee” means the membership fee which each and every Next Member shall remit to the Company for enrollment of the Membership(collectively shared with the Core Member), which is to be discussed more particularly in detail under Clause 5.3;t) “Notice of Manifestation (Upgrade)” means the Company’s notice of manifestation, submitted by the Core Member / Next Member to the Company
to upgrade the Membership to any of the Upgraded Membership, which prescribes the Upgrade Fee (Core Member), the Upgrade Fee (Next Member),the Additional Membership Fee (Core Member), the Additional Membership Fee (Next Member), and the speciﬁc term of validity of the membershipfor which the Core Member / Next Member wish to enroll and is considered an integral part of this Diamond Membership Agreement, which is moreparticularly discussed in detail in Clause 5.6;u) “Penalty Charge” means the charge to be paid by the Core Member / Next Member to the Company pursuant to the terms and conditions of
this Diamond Membership Agreement and the E-Privilege manual, which is to be discussed more particularly in detail under Clause 5.5;v) “Prevailing Rate” the latest rate of the Membership Fee and Next Membership Fee, the Upgrade Fee (Core Member), the Upgrade Fee (Next Member),the Additional Membership Fee (Core Member), the Additional Membership Fee (Next Member), , the Card Reissuing Fee, or the Penalty Charge, announced
by the Company in writing or in the E-Privilege manualw) “Privileges” means exclusive privileges for the Membership or any of the Upgraded Membership as set out in the E-Privilege manual which may be,from time to time, updated or amended by the Company;x) “Reserve Membership Agreement” means the Reserve Membership Agreement which the Core Member / Next Member shall enter into with the Company
upon the Core Member / Next Member’s application -- Notice of Manifestation (Upgrade) -- for upgrade of the Membership to the class of the Reserve
Membership (Invitation only);y) “Sales Agent” means an authorized representative of the Company;z) “Service Provider” means any person or any juristic entity, which may be developed from time to time, collaborating with the Company in providing thePrivileges in relation to the Membership as set out in the E-Privilege manual, or as the Core Member / Next Member shall be advised from time to time;aa) “Upgrade Fee (Core Member)” means the upgrade fee to be paid by the Core Member to the Company upon the Core Member’s Notice of Manifestation(Upgrade) for the Upgraded Membership to the class of the Reserve Membership (Invitation only), which is to be discussed more particularly in detail in Clause 5.6;bb)“Upgrade Fee (Next Member)” means the upgrade fee to be paid by the Next Member to the Company upon the Next Member’s Notice of Manifestation(Upgrade) for the Upgraded Membership to the Reserve Membership (Invitation only), which is to be discussed more particularly in detail in Clause 5.6;cc) “Upgraded Membership” means the Reserve Membership (Invitation only), which the Core Member / Next Member wish to be upgraded to, apply for,and enjoy its privileges upon the application thereof having been approved by the Company against the Company’s receipt of the Upgrade Fee (CoreMember), the Upgrade Fee (Next Member), the Additional Membership Fee (Core Member), and the Additional Fee (Next Member), all of which are dueand payable upfront upon upgrade.

Core Member / Legal Representative’s Signature
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2. Terms of Membership
2.1 Conditions Precedent (for Core Member)
As a condition precedent for the Core Member’s eligibility for applying for the Membership, the Core Member must by his or herself, or,in case of juvenile, through the Legal Representative (his or her parent or legal guardian) present to the Company documentary evidence
attesting to his or her qualiﬁcations as required under Clause 6 in order to enjoy the beneﬁts of Privileges under the Membership, which shallneither be invalid, nor expired, nor terminated at the time of ﬁling the Application.
The Company’s approval, as well as receipt of the Core Member’s payment of the Application Fee and the Membership Fee shall also be
conditions precedent for the Membership.
In case such documentary evidence is originally made in any other language/languages other than English, its English translation must be
prepared and certiﬁed as true translation by a translator acceptable to the Company, at the costs of the Core Member, and attached to such
documentary evidence at the time of Application.
2.2 Conditions Precedent (for Next Member)
As a condition precedent for the Next Member’s eligibility for applying for the Membership, and in addition to the qualiﬁcations required under
Clause 6, the Next Member must by himself or herself, or, in case of juvenile, through the Legal Representative (his or her parent or legal
guardian) present to the Company documentary evidence attesting to his or her kinship to either the Core Member or Next Member (whose
Application has been submitted to and already approved by the Company prior to this Application), or present to the Company documentary
evidence attesting to his or her legal marriage status with the Core Member within the deﬁnition of the Immediate Family Member in order toenjoy the beneﬁts of Privileges under the Membership, which kinship or marriage status shall neither be invalid, nor expired, nor terminatedat the time of ﬁling the Application.
The Company’s approval, as well as receipt of the Next Member’s payment of the Next Membership Fee shall also be conditions precedent
for the Membership.
In case such documentary evidence is originally made in any other language/languages other than English, its English translation must be
prepared and certiﬁed as true translation by a translator acceptable to the Company, at the costs of the Next Member, and attached to such
documentary evidence at the time of Application.
2.3 Personal Information
The Core Member / Next Member agree that the Company may check or reveal any personal information or any information provided in
the Application or provided otherwise to the Company. This consent shall survive the termination or expiration of this Diamond Membership
Agreement.
2.4 Membership Term
Subject to each of the Privileges’ speciﬁc enjoyment period stated in Clause 4, the Membership Term shall be valid for ﬁfteen (15) years,
which is to be collectively enjoyed by the Core Member / Next Member.
2.5 Vacancy in Membership
Upon demise of the Core member, or of one or more of the Next Members, the vacancy in the Membership shall have no effect whatsoever
to the Privileges under the Membership for the remaining Next Members, in which case such Privileges shall continue to be valid until the end
or early termination thereof.
Upon demise of the Core Member, if the Core Member is survived by one surviving Next Member, such surviving Next Member whose Application
has been approved by the Company and who is enjoying the Membership at the time of demise shall escalate to assume the status of andbecome the Core Member. However, if the Core Member is survived by at least two (2) surviving Next Members, all surviving Next Members
shall consult and select among themselves the Next Member who shall become the Core Member.
In both cases, upon the surviving Next Member’s or the selected surviving Next Member’s notice to the Company of the Core Member’s
demise with proof satisfactorily attesting thereto, e.g. copy of death certiﬁcate issued by the relevant authority of the country in which
the demise occurred, or any documentary evidence having similar effect, etc., the Company shall issue a new Core Member’s Card to such
surviving Next Member, or such selected surviving Next Member, as the case may be. Ofﬁcial proof of Core Member’s demise must be
notarized bya notary public in the country in which demise occurred, and, if such proof and/or notarization is/are originally made in any
language or languages other than English, they must be translated into English and certiﬁed as true translation by a translator acceptable to
the Company, at the costs of the surviving Next Member or the selected surviving Next Member.

Core Member / Legal Representative’s Signature
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In no case, however, shall (i) vacancy of the Core Member / Next Member be validly and effectively replaced by the existing Core Member /Next Member’s Immediate Family Member without new Application having been ﬁled by a potential Next Member, Company’s approval ofsuch new Application having been issued, and Next Membership Fee having fully been received by the Company, and (ii) a married spouseor civil union partner of the lone surviving Next Member, or of the selected surviving Next Member who has replaced the demised Core
Member pursuant to the second paragraph above be qualiﬁed to apply for the Membership, unless such married spouse or civil union partneris the parent, step-parent, or child of the demised Core Member.
2.6 End of Kinship
Upon the end or termination of kinship between biological parent, who is the Core Member, and his or her child, who is the Next Member,due to whatsoever reasons other than the Core Member’s demise, including, inter alia, such child having become a legally adopted child of
another person, the Privileges available for such child, who is the Next Member, under Clause 4.1 below shall vest with the biological parent
who is the Core Member only.
The provision of the preceding paragraph shall mutatis mutandis apply to the circumstance whereupon the kinship between step-parent, whois the Core Member, and his or her adopted child, who is the Next Member, as the case may be, is ended or terminated due to whatsoever
reasons other than the Core Member’s demise, including, inter alia, the judicial decision ending or terminating the stepparent adoption.
In both cases, ofﬁcial proof of end of kinship must be notarized by a notary public in the country in which the kinship ended, and if such proof
is originally made in any language or languages other than English, it must be translated into English and certiﬁed as true translation bya translator acceptable to the Company, at the costs of the Core Member, prior to them being presented to the Company.
2.7 End of Marriage Relationship
Upon divorce of the Core Member and Next Member, who in both cases are a married couple or civil union partners, the Privileges available
for the Next Member who is either the Core Member’s married spouse or the Core Member’s civil union partners under Clause 4.1 below shallvest with the Core Member only. Ofﬁcial proof of divorce must be notarized by a notary public in the country where divorce was registered /recognized, and if such proof and/or notarization is/are originally made in any language or languages other than English, they must be translated
into English and certiﬁed as true translation by a translator acceptable to the Company, at the costs of the Core Member, prior to them being
presented to the Company.
2.8 Membership Upgrade
During the 15-year Membership Term, the Company may announce and advise the Core Member / Next Member in writing of the speciﬁc
timeframe or deadline for the Core Member / Next Member to collectively and simultaneously upgrade the Membership to the class of
the Reserve Membership (Invitation only).
The Upgraded Membership may be multiply applied during the 15-year Membership Term.
The Upgraded Membership shall however be applied for collectively and simultaneously by the Core Member / Next Member.
The Upgrade Fee (Core Member), the Upgrade Fee (Next Member), the Additional Membership Fee (Core Member), the Additional MembershipFee (Next Member), and the validity of the Upgraded Membership, shall be referred to in Clause 5.6 below.
2.9 Membership Transfer
The Membership may not be transferred to any third-party or to any of the Core Member / Next Member’s Immediate Family Member.
2.10 Suspension
The Privileges under the Membership are subject to partial or complete suspension upon the Company’s absolute discretion, if during
the Membership Term (discussed in Clause 2.4), there incurs any Penalty Charge and/or other fees for which the Core Member / Next Member
are jointly and severally responsible but fail to fully settle within the due date so speciﬁed in the invoice. For the avoidance of doubt, theoutstanding Penalty Charge and/or other fees will be treated as delinquent amount, which shall be subject to interest at the accrual rate ofseven point ﬁve (7.5) percent per annum.
2.11 Termination(1) Termination due to Lack of Qualiﬁcations
The Company may terminate the Membership for the Core Member / Next Member by giving an advance written notice to the Core
Member / Next Member upon the occurrence of any of the following events:(2) Termination due to Inappropriate Conducts
The Company may terminate the Membership for the Core Member / Next Member by giving an advance written notice to the Core
Member / Next Member upon the occurrence of any of the following events:(a) Core Member / Next Member has conducted any act which is considered to be illegal or contrary to public order or good morals andhas negative impact on the images or business operations of the Company;(b) Core Member / Next Member has fraudulently used his/her Privileges; or(c) Core Member or Next Member has not complied with terms and conditions of this Diamond Membership Agreement or the E-Privilege
manual.
Core Member / Legal Representative’s Signature
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(3) Termination due to Government Policies
In case there is any order, rule, regulation or law announced by any related government authority which has an impact on the business
operation of the Company to the effect that the Company is unable to continue its business or perform its operation as usual, the Company
shall be entitled to terminate the Membership for the Core Member / Next Member by giving an advance written notice to the Core
Member / Next Member.
(4) Termination due to Members / Next Member’s DemiseUpon all of the Core Member / Next Member’s demise, the Membership for Core Member / Next Member hereunder shall immediately
cease to exist.
(5) Rights and Duties after Termination
It is understood as follows:(a) In case of termination pursuant to Clause 2.11 (1) or (2) above, the Membership for the Core Member / Next Member hereunder shallimmediately become invalid whereupon the Core Member / Next Member’s right to the Privileges hereunder shall cease to exist andthe Membership Fee and Next Membership Fee shall also be forfeited to the Company, and the Company is entitled to demand
the Penalty Charge (if any) and/or other fees, including the additional Privileges costs, (if any).
(b) In case of termination pursuant to Clause 2.11 (3) above, the Membership for Core Member / Next Member hereunder shall immediately
become invalid whereupon the Company shall refund the remaining Membership Fee to the Core Member / remaining Next Membership
Fee to the Next, within thirty (30) days after the Card has been returned to the Company, less the Penalty Charge (if any) and / or otherfees, including the additional Privileges costs (if any).
(c) In case of termination pursuant to Clause 2.11 (4) above, no refund of the Membership Fee and Next Membership Fee shall be madeto the Core Member / Next Member’s next of kin or any person entitled to or in control of the Core Member / Next Members’ estate,
and the Company reserves the right to claim from Core Member / Next Member’s estate if at the time of their demise there has incurred
Penalty Charge and/or any other fees, including the additional Privileges costs (if any), for which the Core Member / Next Member shallbe jointly and severally responsible.

3. Service Access
3.1 The Card (Physical or Electronic) and the Member Identiﬁcation Number are the keys to access the Privileges. The Core Member / Next Member
must activate the Card to access the complete Privileges by visiting http://www.thailandprivilege.co.th, downloading the Company’s
Application, or contacting the Member Contact Center. The Card must only be used by the Core Member / Next Member whose name isprinted thereon.
3.2 The Card or any proof of identity or any other evidence (as agreed by the Company and the Service Provider) must be shown to the Service
Provider before obtaining the Privileges.
3.3 Signature as similarly appeared on the passport or on the Application shall be required from the Core Member / Next Member for the use ofany services.

4. Privilege Usage and Beneﬁts
4.1 The Privileges under the Membership will basically offer a privilege entry visa – a renewable 5-year multiple entry visa with extendable 1-year
length of stay per each entry.
It is understood that all Privileges can be referred to in the E-Privilege manual in the Company’s website. It is understood also that at present
the Privileges, to which the Core Member / Next Member will enjoy throughout the Membership Term, are divided into two (2) categories,
whereby those of the ﬁrst category are ﬁxed with the number of usage once, or subject to a limited number of usage per each year, throughout
the Membership Term, while those of the second category are available per each year as complementary or via reduction of points yearly
earned by the Core Member / Next Member.
The yearly points earned are currently ﬁxed at 55 privilege points and shall be used up within the particular year earned and not be carriedforward to the next year (non-accumulative), and shall also be non-transferable, and non-cashable.
The ﬁrst category (yearly limited number of usage) and the second category (yearly points earned) of the Privileges shall be cumulative uponeach and every use by any of the Core Member and/or Next Member, and upon any of such Privileges having been used up in any given year
during the Membership Term, the Company reserves the right to charge additional fee(s) therefor upon availability and/or upon the Core
Member and/or Next Member’s request (as the case may be).
4.2 The Company reserves the rights to charge, change, modify, cancel and/or prescribe further limitation on any of the Privileges or replace theService Provider from time to time, without prior notice. The use of the Privileges shall be subject to the speciﬁc terms and conditions as statedin the E-Privilege manual, which will be amended or supplemented upon such charge, change, modiﬁcation, cancellation, or prescription oflimitation of the Privileges, or replacement of Service Provider, and which is considered an integral part of this Diamond Membership
Agreement. In case any of the limited number or the yearly points of Privileges under Clause 4.1 having been used up at any time in the futureby the Core Member / Next Member, the Core Member / Next Member agree to pay the Company an additional charge for additional usagesof the relevant Privileges in accordance with the rate which shall be notiﬁed to the Core Member / Next Member from time to time.
Core Member / Legal Representative’s Signature
D_N2023_001

Applicant’s Signature
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4.3 The Privileges are inure to and considered to be personal rights of the Core Member / Next Member.
4.4 Liabilities & Limitations(1) The Company shall not be liable to the Core Member / Next Member or a third party for any products or services provided by Service
Provider to the Core Member / Next Member for any delay and/or defect in performance of the same by any reason whatsoever.
Such limitation shall cover any loss or injury or any direct, indirect, incidental, consequential, punitive, or similar damages arising out of theuse or the inability to use the Privileges. This limitation applies whether the alleged liability is based on contract, tort, negligence, strict
liability, or any other basis, even if the Company has been advised of the possibility of such damage. The Core Member / Next Member
hereby waive any and all claims against the Company arising out of the use or inability to use the Privileges.
(2) All express or implied warranties, representations, statements, terms and conditions relating to the Privileges or the Membership,not contained in the E-Privilege manual and/or herein, are excluded and considered not a part hereof, to the extent permitted by law.
The aggregate liability of the Company hereunder, whether in contract, tort (including without limitation to negligence) is limited to an
amount equal to the Membership Fee and the Next Membership Fee paid by the Core Member / Next Member to the Company hereunder.
(3) The Core Member / Next Member agree that the Company shall have the rights at all time to assign wholly or in part any or all its rights,
duties, and obligations to any of its afﬁliates or any other person, provided that the Core Member / Next Member are notiﬁed in writing
prior to any such assignment.

5. Fee(s) and Conditions
5.1 Application Fee
THB 50,000 (ﬁfty thousand Baht only), inclusive of value added tax, per Membership, which is refundable in case of the Company’s rejection of
the Application, yet convertible into part of the Membership in case of the Company’s approval of the Application.
5.2 Membership Fee
THB 2,500,000 (two million and ﬁve hundred thousand Baht only), inclusive of value added tax, per Membership.
5.3 Next Membership Fee
THB 1,500,000 (one million and ﬁve hundred thousand Baht only), inclusive of value added tax, per Next Member.
5.4 Card Reissuing Fee
The fee to be paid by the Core Member / Next Member to the Company when the Core Member / Next Member requests for the issuance ofthe new card due to loss or damage to the Card, at the amount so prescribed in the E-Privilege manual.
5.5 Penalty Charge
Cancellation of reservation for certain services pursuant to the E-Privilege manual must be notiﬁed in advance by the Core Member / Next
Member to the Member Contact Center in accordance with the terms and conditions as stated in the E-Privilege manual, otherwise the Core
Member / Next Member shall be responsible to pay the Penalty Charge to the Company at the applicable rate so stated in the E-Privilege manual.
5.6 Upgrade, Upgrade Fee, Additional Membership Fee (Upgrade), and Validity
The Core Member / Next Member who wish to collectively and simultaneously apply for the Reserve Membership (Invitation only) shall(i) submit the Notice of Manifestation (Upgrade) in respect thereof at least 6 months prior to the end of the Membership Term or the longer
period (timeframe / deadline) speciﬁed in the Company’s written notice (if any), or in the E-Privileges manual, and (ii) pay the Upgrade Fee(Core Member), the Upgrade Fee (Next Member), the Additional Membership Fee (Core Member), and the Additional Membership Fee(Next Member) to the Company for consideration and approval.
The Upgrade Fee (Core Member) for each and every Upgraded Membership payable by the Core Member to the Company upon application
shall be THB 100,000 (one hundred thousand Baht only) inclusive of value added tax. The Additional Membership Fee (Core Member) payable
by the Core Member for the Reserve Membership (Invitation Only) shall be THB 2,500,000 (two million and ﬁve hundred thousand Baht only,
inclusive of value added tax.
The Upgrade Fee (Next Member) for each and every Upgraded Membership payable by the Next Member upon application shall also be THB
100,000 (one hundred thousand Baht only) inclusive of value added tax. The Additional Membership Fee (Next Member) payable by the Next
Member for the Reserve Membership (Invitation only) shall be THB 2,000,000 (two million Baht only), inclusive of value added tax.
The Company’s approval and receipt of the Upgrade Fee (Core Member), the Upgrade Fee (Next Member), the Additional Membership Fee(Core Member), and the Additional Membership Fee (Next Member) for the Upgraded Membership – Reserve Membership (Invitation only) shall be condition precedent for the enjoyment of the membership thereof.
The validity of each of the Upgraded Membership shall be prescribed by and subject to the Notice of Manifestation (Upgrade).

Core Member / Legal Representative’s Signature
D_N2023_001

Applicant’s Signature
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6. Qualiﬁcations of the Applicant/the Core Member / Next Member
The Applicant / the Core Member / Next Member must have and maintain to have following qualiﬁcations:
6.1 Not having been sentenced by a judgment to imprisonment in any countries, prior to or after the Application submission, except for an offence
committed to negligence;
6.2 Not having been adjudicated bankrupt;
6.3 Not having been declared as a person of unsound mind, incompetence, or quasi-incompetence;
6.4 Being allowed to stay in Thailand accordance with the immigration laws or any related law of Thailand;
6.5 Holding a foreign passport; and6.6 All ages are eligible.

7. Interpretation
In the event that interpretation of the terms and/or conditions of this Diamond Membership Agreement or any part of this Diamond Membership
Agreement or document that is deemed a part of this Diamond Membership Agreement or any of the terms and conditions stipulated in
the E-Privilege manual is needed, the Core Member / Next Member hereby agree that the Company’s interpretation shall be conclusive.
If there is any inconsistency between the terms and/or conditions of this Diamond Membership Agreement and the terms and / or conditions of
the E-Privilege manual, the terms and conditions of this Diamond Membership Agreement shall prevail.

8. Governing Law
This Diamond Membership Agreement shall be governed by and construed in accordance with the laws of Thailand.

9. Notice
9.1 Any notice or other communication in connection with this Diamond Membership Agreement shall be made in writing in English language(a “Notice”) and shall be sufﬁciently given or served if delivered or sent:(1) In the case of the Core Member / Next Member to the mailing as stated in the Application or in any other address as shall be notiﬁed by
the Core Member to the Company from time to time.
(2) In the case of the Company to below address, or any other addresses as shall be notiﬁed by the Company to the Core Member from time
to time.
Thailand Privilege Card Company Limited
110/2 North Sathorn Road, Silom, Bangrak, Bangkok 10500 Thailand
Telephone: +66(0) 2352 3000
Facsimile: +66(0) 2352 3001
Email: memberservice@thailandprivilege.co.th
Website: www.thailandprivilege.co.th
Attention: Member Contact Center
9.2 Any notice may be delivered by hand or, sent by fax or prepaid post (in the case of service in Thailand and airmail in the case of international
service). Without prejudice to the foregoing, any notice shall conclusively be deemed to have been received on the next working day in theplace to which it is sent, if sent by fax, or 60 hours from the time of posting, if sent by post, or at the time of delivery, if delivered by hand.

10. Miscellaneous
Without limiting the generality of and in addition to any other terms and conditions stipulated herein, the Core / Next Members agree andacknowledge that, at any time during the Membership Term or any time thereafter (as the case may be) based on the Company’s discretion, theCompany may waive its right to demand any compliance with the terms and conditions of this Diamond Membership Agreement or the E-Privilege
manual from the / Next Core Member. Such waiver shall not however affect any right of the Company to exercise its sole discretion to enforce
or modify the terms and conditions of this Diamond Membership Agreement or the E-Privilege manual, including but not limited to the criteria,
procedures, conditions, platform, Membership Fee, and any of the Privileges set forth herein or in the E-Privilege manual.

Core Member / Legal Representative’s Signature
D_N2023_001

Applicant’s Signature8

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